Ksa Medical Llc | |
230 Sherman Ave Ste B Glen Ridge NJ 07028-1520 | |
(201) 647-8035 | |
Not Available |
Full Name | Ksa Medical Llc |
---|---|
Speciality | Internal Medicine |
Location | 230 Sherman Ave Ste B, Glen Ridge, New Jersey |
Authorized Official Name and Position | Aiza Akbar (OWNER) |
Authorized Official Contact | 2016478035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ksa Medical Llc 1124 Allessandrini Ave New Milford NJ 07646-2403 Ph: (201) 647-8035 | Ksa Medical Llc 230 Sherman Ave Ste B Glen Ridge NJ 07028-1520 Ph: (201) 647-8035 |
NPI Number | 1063276012 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 04/23/2025 |
Medicare PECOS PAC ID | 7012354962 |
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Medicare Enrollment ID | O20240327001391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063276012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Aiza Akbar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588117576 PECOS PAC ID: 5799013819 Enrollment ID: I20190827001661 |
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